Bible Bikers Registration Form

Bible Bikers Registration Form
June 23-25, 2026

2:30-5:30 p.m. daily

First United Methodist Church
200 S. Walnut St
Taylorville, IL 62568

Please fill out one registration form for each child. Junior High students who participate in Bible Bikers will meet at FUMC each afternoon, then bike to different places around town to learn about God's nature while out in nature! Bible Bikers is open to children who are entering 6th through 8th grades.
Child's Name*

First NameLast Name
Child's Age*
Date of Birth*
Last school grade completed*
Name of parent(s)/guardian(s)*

First NameLast Name
Name of parent(s)/guardian(s)

First NameLast Name
Address*

Street Address

Street Address Line 2

City

Zip Code
Parents Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Email
example@example.com
Home Church*
In case of emergency, contact*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to child*
Allergies or other medical conditions*
If there are not any then please say "none" in the box.
YesNo
Photo/video permission: Please select one of the options below:
YesNo
Signature*

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